Active NPI
Mary A Clavelle, RD, LDN
- Registered Dietitian
- Zachary, LA
National Provider Identifier
1750721403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1147
- Practice address
- 6351 Main St
Zachary, LA 70791-4038 - Phone
- (225) 306-2000
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1147 | LA | Primary |
Addresses
Primary practice location
6351 Main St
Zachary, LA 70791-4038
Mailing address
PO Box 770
Zachary, LA 70791-0770
Phone (225) 306-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1750721403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 770",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707910770",
"telephone_number": "225-306-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6351 MAIN ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914038",
"telephone_number": "225-306-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAVELLE",
"first_name": "MARY",
"middle_name": "A",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "1147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zachary, LA
- Chiro/Practical
- Christopher L. Surek, D.O. Apmc
- James Chustz, CRNA
- Stacey Clark
- Tiffany Renee Clark, SMALL BUSINESS OWNER
- Clayton G Brown MD a Professional Medical Corporation
- Co Med Respiratory & Medical Equipment
- Jennifer Hood Cohn, PT
- Agnes McKowen Collins, PA
- Comed Respiratory & Med Equipment Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.